| NPI | 1629047246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: PA md029906E) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD029906E) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2022-06-09 |